PACIO Cognitive Status Implementation Guide
0.1.0 - STU Ballot

PACIO Cognitive Status Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.

PACIO Cognitive Status Capability Statement

This Capability Statement defines the expected capabilities of a PACIO Cognitive Status FHIR server conforming to the PACIO Cognitive Status Implementation Guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide

PACIO Cognitive Status

An exchange of cognitive status observation for a patient. This profile is used for exchanging a single observation data generally included in a set of observation data collected through the use of a structured resource (e.g. assessment tool, instrument, or screen).

PACIO Cognitive Status Collection

A point in time collection of cognitive status observations for a patient. This profile is used for exchanging a set of observation data collected through the use of a structured resource (e.g. assessment tool, instrument, or screen).

PACIO Narrative History of Cognitive Status

An exchange of summary observation regarding the most recent prior level of cognitive function immediately preceding the current admission, illness, or exacerbation for a patient. The use of this profile is encouraged in the absence of formal prior level of cognitive assessments. For formal assessments conducted with for example, an assessment instrument, use the Cognitive Status Collection and Cognitive Status profiles to capture assessment data.

Use of Device

A record of an assistive device–e.g. eyeglasses or hearing aid, being used by a patient during a cognitive status assessment. This profile based on the DeviceUseStatement resource provides a way to include information about device usage during an assessment.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide

AssistanceRequired

Associated with the Narrative History of Cognitive Status profile to provide a high-level indication of assistance required for the person’s baseline ability (cognitive function immediately preceding the current admission, illness, or exacerbation for a patient) to answer cognitive related clinical questions. The CMS Assessment answer list LL4309-2 provides possible values for this extension.

DevicePatientUsed

Associated with the Cognitive Status Collection profile to point to a record indicating what healthcare-related assistive device was used by a patient during a functional status assessment. This extension leverages the DeviceUseStatement resource instead of Device resource so as to indicate appropriately a record of assistive device usage by a patient.

ObservationEventLocation

This extension is used to indicate the principal physical location where an observation event occurred.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide

PACIO Functioning Category Value Set

Codes for the classification of patient observation. This is an extension of the ObservationCategoryCodes value set

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide

PACIO Functioning Category Code System

Defining a specific code for the classification of patient observation regarding individual’s functioning.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like

BSJ-Narrative-History-Cognitive-Status-1

An instance of NarrativeHistoryOfCognitiveStatus

CMS-Device-1

An instance of Device

CMS-Device-2

An instance of Device

CSC-Hospital-MMSE-1

An instance of CognitiveStatusCollection

CSC-Hospital-MMSE-1-Ob-Question-31

An instance of CognitiveStatus

CSC-Hospital-MOCA-1

An instance of CognitiveStatusCollection

CSC-Hospital-MOCA-1-Ob-Question-1

An instance of CognitiveStatus

CSC-SNF-BIMS-1

An instance of CognitiveStatusCollection

CSC-SNF-BIMS-1-Ob-Question-10

An instance of CognitiveStatus

CSC-SNF-BIMS-1-Ob-Question-3

An instance of CognitiveStatus

CSC-SNF-BIMS-1-Ob-Question-4

An instance of CognitiveStatus

CSC-SNF-BIMS-1-Ob-Question-5

An instance of CognitiveStatus

CSC-SNF-BIMS-1-Ob-Question-6

An instance of CognitiveStatus

CSC-SNF-BIMS-1-Ob-Question-7

An instance of CognitiveStatus

CSC-SNF-BIMS-1-Ob-Question-8

An instance of CognitiveStatus

CSC-SNF-BIMS-1-Ob-Question-9

An instance of CognitiveStatus

CSC-SNF-BIMS-1-UseOfDevice-1

An instance of UseOfDevice

CSC-SNF-BIMS-1-UseOfDevice-2

An instance of UseOfDevice

CSC-SNF-CAM-Admission-1

An instance of CognitiveStatusCollection

CSC-SNF-CAM-Admission-1-Ob-Question-1

An instance of CognitiveStatus

CSC-SNF-CAM-Admission-1-Ob-Question-3

An instance of CognitiveStatus

CSC-SNF-CAM-Admission-1-Ob-Question-5

An instance of CognitiveStatus

CSC-SNF-PHQ9-1

An instance of CognitiveStatusCollection

CSC-SNF-PHQ9-1-Ob-Question-11

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-12

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-13

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-14

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-15

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-16

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-17

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-18

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-19

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-20

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-21

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-22

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-23

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-24

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-25

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-26

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-27

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-28

An instance of CognitiveStatus

CSC-SNF-PHQ9-1-Ob-Question-29

An instance of CognitiveStatus

Org-01

An instance of Organization

Org-02

An instance of Organization

Org-03

An instance of Organization

Org-Loc-01

An instance of Location

Org-Loc-02

An instance of Location

Org-Loc-03

An instance of Location

Practitioner-HoneyJones

An instance of Practitioner

Practitioner-JennyGlass

An instance of Practitioner

Practitioner-JohnSmith

An instance of Practitioner

Practitioner-LunaBaskins

An instance of Practitioner

Practitioner-NoraOlogist

An instance of Practitioner

QResponse-Hospital-MMSE-1

An instance of QuestionnaireResponse

QResponse-Hospital-MOCA-1

An instance of QuestionnaireResponse

QResponse-SNF-BIMS-1

An instance of QuestionnaireResponse

QResponse-SNF-CAM-Admission-1

An instance of SDC QuestionnaireResponse

QResponse-SNF-PHQ9-1

An instance of QuestionnaireResponse

Role-SLP-HoneyJones

An instance of PractitionerRole

Role-SLP-JennyGlass

An instance of PractitionerRole

Role-SLP-LunaBaskins

An instance of PractitionerRole

patientBSJ1

An instance of Patient

provider-org-01

An instance of Organization

provider-org-16

An instance of Organization

provider-org-loc-01

An instance of Location

provider-org-loc-16

An instance of Location

provider-role-neurologist

An instance of PractitionerRole

provider-role-pcp

An instance of PractitionerRole